Questionnaires forms

Some of the candidate tollers practices, records and documents can not be assessed using only a questionnaire form. A site visit to one or more of the short-listed candidate tollers is usually indicated. This is especially helpful if an unfamiliar toller is competing against a toller that is currently being used. Candidate tollers can use the information in this section to prepare for a site interview when one is requested. 

If one answers Y, then the monitor displays the questionnaire form as shown in Figure 2.2. Now the data can be entered, first for the first record which would contain the information about Thallium, then for the second record for a second element, etc. When input of data for all elements we want the database of is finished one closes the file, which is then automatically saved. 

A questionnaire form has been prepared to survey the analytical capabilities and research projects of laboratories of ALMERA members, and their needs for reference materials and other support. The questionnaire will be put on the ALMERA web site so that all ALMERA member laboratories can answer it on-line. 

This research imphes strongly that the softer areas of cross-cultural differences can make or break a design project the differences found in interviews and tested here in questionnaire form demonstrate the potential for errors due to different perceptions in quality, perseverance and trust and differing approaches to management in terms of respect and hierarchy. 

An elimination questionnaire forms the basis of selecting the best type of adhesive from those discussed in Section 5.1 (summarised in Table 5.2). 

The data from this discourse study were produced in March and April in 2008. It originated from an online questionnaire form which included open-ended theme questions classified in different taxonomies. The material on CSR was answered by the senior specialists from three organizations, the Confederation of Finnish Industries EK, the Central Organization of Finnish Trade Unions SAK and the Finnish Consumers Association. 

We combined these metrics as suggested by the Technology Acceptance Model [14]. Further it was important for us to collect the participants feedbacks on how to improve the tool. For this purpose, we chose an open-ended questionnaire form so as to add their comments. We formulate the study hypotheses as ... 

Pair wise comparisons are done among related criteria and sub-criteria following the scale suggested by Saaty [16] in Table 1. A questionnaire form is used to complete the pair-wise comparison matrix. 

Some companies have more detailed forms for the site visit. One example of an assessment questionnaire is provided in Appendix A, Sample Toller Pre-Assessment Qjiestionnaire. 

Companies evaluating tollers should modify the examples in this book to best meet their needs. Tollers may gain insight by comparing the examples to questionnaires that they have completed previously. Additional samples of assessment forms are provided in the appendices. 

The sources from which information is to be gathered and the forms, questionnaires, and interview checklists to be used... 

As with audits, survey results form the basis of a facility-specific report for circulation to facility management and the PSM team. This report may follow the questionnaire format, with responses tabulated and analysis and commentary provided at the end. If necessary, baseline PSM assessments can be performed by a single individual using a survey method. 

In designing a survey form, consult with people in your company s data processing department, who can help build in tabulation requirements on the front end. Make sure they understand that responses may be qualitative as well as quantitative and ask for advice on structuring the questionnaire to facilitate consolidating results. 

Regardless of which assessment method you choose, assessors and auditors should take detailed notes using a common format to help capture maximum information in a consistent manner. Forms for questionnaires, topical outlines, and audit protocols (as shown in the exhibits) can perform double duty by providing interviewers with a format for notes as well as reporting. 

To consolidate multiple reports efficiently, you may want to develop an enlarged chart based on the assessment report form (questionnaire, protocol, other), which can be filled in as assessments are completed. This may help to illustrate common strengths and weaknesses, as well as highlighting pacesetter programs and gaps. 

If the questionnaire is to be filled in by a large number of people you will generally solicit more honest answers by assurances that the information is confidential and having the forms returned directly to your assessment team. 

The LER data base served as the primary source of DG failure data, while a data base for DG successes was formed from nuclear plant licensees responses to a USNRC questionnaire (Generic Letter 84-15). Estimates of DG failure on demand were calculated from the LER data, DG test data, and response data from the questionnaire. The questionnaire also provided data on DG performance during complete and partial LOSP and in response to safety injection actuation signals. Trends in DG performance are profiled. The effects of testing schedules on diesel reliability are assessed. Individual failures are identified in an appendix. 

The data needed to plan the site layout are shown in the form of a questionnaire in Figure 7.1. 

After the site layout has been determined, the layout of equipment inside the buildings will need to be considered. Details of the individual items of equipment will be needed, and Figure 7.2 lists the required information in the form of a questionnaire. 

Hybrid systems are those systems that employ various strategies to collect data. In such systems, data may be collected on paper forms as patient self-administered questionnaires, while additional data may be downloaded from centralized databases. 

Additional examples of variability in data collection (which, in turn, affects data interpretation) include questionnaires and physical exam forms. Questionnaires often utilize open-ended questions that allow great variability in the type and extent of adverse event information gathered. Physical exam forms—even when designed in a checklist format—may elicit variable collection of adverse event data what is a serious event to one clinician may not be serious to another. 

The Medical Outcomes Study 36-Item Short Form Health Survey and the Rhinoconjunctivitis Quality of Life Questionnaire measure not only improvement in symptoms but also parameters such as sleep quality, nonallergic symptoms (e.g., fatigue, poor concentration), emotions, and participation in a variety of activities. 

RRS assessed the cost of completing the PMN form by examining the costs that companies actually incurred in performing this task. RRS sent a questionnaire to all companies known to have filed a PMN form. In addition, RRS examined EPA s public files on the PMNs it has received. Average costs are shown in Table II,... 

Conners Teacher Questionnaire. The TQ form was designed to obtain teacher evaluations of children up to age 15 in terms of their interactions with peers and their ability to cope with the school environment and requirements. There are 41 items, and the first 39 have a four-point scale. Question 40 deals with the teacher s evaluation of the child s severity of illness, and question 41 deals with global improvement in four different areas. This test is used once at pretreatment and as needed afterwards. It takes about 15 minutes to complete and covers either the present or any interval period up to one month. A shorter 11-item PTQ is often used after the initial use of the 41-item TQ. The five subscales included are conduct, inattentive-passive, tension-anxiety, hyperactivity, and social ability. 

The first aerosol experiments in this series utilizing quantitative techniques were performed by the writer in 1954. Two types of delivery were employed (a) powdered LSD diluted with talc, administered by means of a simple inertia device (Fig. la) (b) aqueous solutions of LSD administered intranasally by means of the nebulizer illustrated in Fig. lb. When a talc-LSD powder was administered intranasally, very severe reactions occurred rapidly. With a maximum dose of 256 meg delivered intranasally in the form of LSD-talc powder, subject J.M. had a most severe reaction, withdrawing to one part of my home in which the experiment took place and refusing to cooperate in his usual fashion. The data on Subject J.M. in this experiment are available. In order to study liquid aerosols, aqueous solutions of LSD-25 were administered intranasally to Subject J.M. The questionnaire was again used to estimate the severity of the reaction. The following technique of comparison was employed. 

In addition to the visual monitoring of subjects during testing, clinical assessment can be accomplished by having the project physician interview each subject concerning symptoms, with a standard questionnaire immediately after exposure. Also, subjects can keep a record, on a standard form, of symptoms experienced during and after exposure. It is well to note here that caution should be exercised in interpreting symptoms, because these are unlikely to be blind studies. 

The Board transmits form D, an annual questionnaire on substances frequently used in the illicit manufacture of narcotic drugs and psychotropic substances, to all Governments. As at 1 November 2004, a total of 135 States and territories, as well as the European Commission on behalf of the States members of the European Union, had submitted form D for 2003 (see annex II for details). With 66 per cent of all States parties and 48 per cent of non-parties submitting data for 2003, the rate of submission for 2003 is approximately the same as that of previous years. 

All patients who are prescribed the drug are identified from prescriptions submitted to the Prescription Pricing Authority (PPA). Copies of the prescriptions are sent to the DSRU to provide exposure data on patient and prescribing doctor. After a certain interval, typically 12 months, each GP is contacted and asked to complete a simple questionnaire (the green form ) describing any event that might have been recorded since the first prescription to the individual patient. 

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